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Removal Of A Kidney Drainage Tube, With X-ray Guidance

New Hampshire rates for HCPCS 50389

A tube that was placed through the skin directly into the kidney to drain urine is removed, using live X-ray imaging to guide the process and confirm it comes out safely. This is used when a temporary kidney drainage tube is no longer needed.

Rates data updated October 2026.

How much does Removal Of A Kidney Drainage Tube, With X-ray Guidance cost?

$1,025

Typical total for the visit. In New Hampshire, October 2026.

Insurers have agreed to pay about $1,025 for this procedure. That total is two separate charges: $174 to the doctor who performs it, and $851 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$174$75.86 to $525
Facility feeThe hospital or surgery center$851$661 to $1,413

How much rates vary

Facilitymedian $851 · 10th to 90th $537 to $2,692Professionalmedian $174 · 10th to 90th $56 to $871
$50$200$1K$5Kfacility $851professional $174

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$2,398.83
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$173.78
Typical High
$478.63
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,548.82
Typical High
$3,467.37
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$134.90
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$114.82
Median
$186.21
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$588.84
Typical High
$870.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$218.78
Typical High
$1,202.26
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$776.25
Typical High
$2,691.53
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$416.87
Typical High
$1,230.27
United
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$851.14
Typical High
$2,691.53
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$346.74
Typical High
$891.25
Well Sense
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88

Where New Hampshire sits

The same service costs 5.7 times more in New York than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

New Hampshire· 25th of 51

$1,025

$174 physician + $851 facility

NY $2,925MD $509

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.